| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,811 |
4,222 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,273 |
1,786 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
644 |
484 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
581 |
522 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
193 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
129 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,088 |
438 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
737 |
604 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
416 |
366 |
$4K |
| 90688 |
|
368 |
315 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
496 |
391 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
124 |
$3K |
| 81000 |
|
723 |
594 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$1K |
| 81025 |
|
223 |
186 |
$1K |
| 90670 |
|
271 |
237 |
$896.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
26 |
$782.67 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$750.41 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$547.15 |
| 87807 |
|
60 |
44 |
$479.54 |
| 3008F |
|
18 |
12 |
$50.00 |
| 90461 |
|
205 |
189 |
$45.04 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
26 |
$37.56 |
| 96127 |
|
13 |
12 |
$27.06 |
| 90687 |
|
16 |
14 |
$11.00 |
| 90662 |
|
16 |
13 |
$0.00 |
| 90698 |
|
44 |
41 |
$0.00 |
| 90680 |
|
69 |
65 |
$0.00 |
| 3353F |
|
22 |
13 |
$0.00 |
| 90657 |
|
34 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
14 |
$0.00 |